Canzoneri, Bernard Joseph

Canzoneri, Bernard Joseph is an sole proprietor health care provider with primary practice located at 5501 Willow Creek Dr Suite 202, Springdale AR 72762-8704. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Canzoneri, Bernard Joseph can be contacted via phone (479) 443-4500.

Contact Information

Primary practice address
5501 Willow Creek Dr Suite 202 Springdale AR 72762-8704
Fax: (479) 249-6910
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2006-00926 North Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2024001047 Missouri
Allopathic & Osteopathic Physicians / Surgery 208600000X MD025689 Louisiana
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X E7297 Arkansas

Profile Details

NPI number 1578580536
LBN Legal business name Canzoneri, Bernard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2006
Last updated Jul 1st, 2024 - about 4 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578580536 NPPES
North Carolina Other 1420R BCBS
North Carolina MEDICAID 029287798 BCBS
North Carolina MEDICAID 1040959 BCBS

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